An outbreak of Escherichia coli 0157:H7 involving long term shedding and person-to-person transmission in a child care center.

An outbreak of E. coli O157:H7 occurred at a Colorado child care center in which 24 of 141 children (l7 percent) were symptomatic for infection. Thirteen of these 24 were confirmed positive for E. coli O157:H7, and five children were hospitalized, one of whom developed hemolytic-uremic syndrome. The...

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Detalles Bibliográficos
Publicado en:Journal of Environmental Health Vol. 59; no. 9; pp. 9 - 15
Autores principales: Williams LD, Hamilton PS, Wilson BW, Estock MD
Formato: consumer/patient teaching materials research tables/charts Journal Article
Publicado: National Environmental Health Association May1997
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:An outbreak of E. coli O157:H7 occurred at a Colorado child care center in which 24 of 141 children (l7 percent) were symptomatic for infection. Thirteen of these 24 were confirmed positive for E. coli O157:H7, and five children were hospitalized, one of whom developed hemolytic-uremic syndrome. The median duration of fecal shedding was 29 days with a range of 11-57 days. Although it was not known how the organism was initially introduced into the center's population, cases arising in other classrooms were consistent with person-to-person transmission. Aggressive intervention utilizing enteric precautions, cohorting of cases and extensive stool sampling prevented further transmission.